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Paaz 1 <br /> Work Activity Work Order o;�„��,, 1_:�� <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date issued anoizo�s Function »9 Activity 675 <br /> Fund ao� Account s Program »o ' <br /> Program <br /> TiilB REPAIR.5 INCH J712 NORTON AVE i 10119675 <br /> 20130745 PfOJ2Ct ACflVify TyP@ CORRECTIVE MAINTENANCE St8fU5 CL <br /> Work Order No Billing _ _ <br /> - - <br /> Status anorzot3 Time i5.sa OriginalV�' _ -- - <br /> Customer Information Cus:omer ld <br /> Customer Name Street <br /> Address City <br /> Apartment No <br /> State Z�P Change Map Y/N <br /> Subdivision Ext <br /> Phone No ( ) - _-- - - ------ <br /> Second Phone ( 1 • Ext <br /> E-Mail Address — -- - — - <br /> Problem Information Street <br /> Address 3712 NORTON AVE <br /> From Cross Street <br /> To Cross Street Z�P <br /> City Map gook Map Reference <br /> Subdivision <br /> Prablem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Reques: <br /> Agency <br /> Initiated From Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Informaiion priority Estimated Hcurs <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date _ <br /> Assigned Date __ .____ ._ <br /> Scheduled Dale __ _ Scheduled Time __ __ . <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.5 INCH CURBSTOP WITH.75 INCH SETTER.JUMPER,BOX AND LOCK OFF. <br /> PROBLEM ACC. <br /> Recommended Action <br /> Job Costinformation(Y/N) ___ <br /> Approved By wo� '�vER, oEnN�. ------ <br /> - Time Date Completed anoi2o�s _ Permit No _ __ <br /> Start Date i � -- — <br /> Completed 8y <br /> Time Follow Up? <br />